Marta J Petersen in Salt Lake City - Procedural Dermatology
Marta J Petersen - NPI 1972601508
Marta J Petersen is a Procedural Dermatology in Salt Lake City, Utah. Marta J Petersen practices all healthcare services and medical treatments related to Procedural Dermatology. The NPI Number for Marta J Petersen is 1972601508. The last update date is 2021-11-11.
Marta J Petersen's current location address is Po Box 3208, Salt Lake City, Utah. You can contact this provider via phone number 8015876340 and fax number 8015876346. The mailing address for Marta J Petersen is Po Box 3208, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marta J Petersen |
|---|---|
| Address | Po Box 3208, Salt Lake City, Utah |
| Phone Number | 8015876340 |
| Fax Number | 8015876346 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1972601508 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2021-11-11 |
Provider Mailing Address Detail
| Address | Po Box 3208 |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 841103208 |
| Phone Number | 8015876340 |
| Fax Number | 8015876346 |
Provider's Primary Taxonomy Detail
| Speciality | Procedural Dermatology |
|---|---|
| Taxonomy | 207Ns0135X |
| Licence No | 1664261205 |
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Definition: Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surge |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3054200 | ID | -- | |
| 870468377001 | UT | -- | |
| J0854 | NM | -- | |
| XPY117280 | CA | -- | |
| 70004834 | RR MEDICARE PROVIDER # | ||
| 2089156 | NV | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Marta J Petersen by the Centers for Medicare & Medicaid Services?
The Marta J Petersen has been assigned the NPI (National Provider Identifier) 1972601508 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Marta J Petersen is physically located?
The Marta J Petersen is physically situated at the following address: Po Box 3208, Salt Lake City, UT, 841103208.
What is Marta J Petersen's specialized field of practice, and what is the corresponding taxonomy classification code?
The Marta J Petersen's area of specialization is Procedural Dermatology, and the corresponding taxonomy code that categorizes this field of practice is 207Ns0135X.
On what date did Marta J Petersen receive its 1972601508 assignment from the Centers for Medicare & Medicaid Services?
The Marta J Petersen was assigned its 1972601508 on 2006-09-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Marta J Petersen's details last updated?
The information pertaining to the Marta J Petersen, including its address, specialty, and other details, was most recently updated on 2021-11-11.